Extrinsic post burn peri-anal contracture leading to sub acute intestinal obstruction: A case report
© Thakur et al; licensee BioMed Central Ltd. 2008
Received: 22 July 2008
Accepted: 21 August 2008
Published: 21 August 2008
Peri-anal contracture lead to intestinal obstruction whenever there is involvement of anal orifice. In this case anus and peri-anal skin up to two cm was normal; however both gluteal folds were fused because of post burn scar leaving a very small opening which lead to faecal impaction and sub acute intestinal obstruction.
Management of the burn patient is the most challenging condition for the medical staff as the fate of the patient depends on the quality of the management provided during hospital stay and after discharge. Even if the patient recovers from the burn injuries, the development of the deformities overshadow the earlier management. This post burn reconstructive surgery and physiotherapy consultation needs to be made compulsory in the burn units.
A two and half year old male child was admitted with complaint of progressive difficulty in passing stools along with progressive distension of abdomen, for last one year. There was history of vomiting, off and on for the last fortnight. Patient had history of sustaining 10% thermal burns over perineum, gluteal region and left foot about one and half year back.
Although perineal and gluteal burns are rare even in the rural areas of our country, as people are now using natural gases for the cooking etc but this rare case report emphasises on the critical burn care, post burn care, physiotherapy and regular follow up to the hospital E. Ye  has also given emphasises on the meticulous preoperative and post operative care in patients with chronic obstruction due to peri-anal contractures.
The written informed consent of the patient has been obtained for the publication of this case report and accompanied images.
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